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Individual
DR. QUEANH N PHAN
Active
Individual
DR. QUEANH N PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20228
FL
Other
Enumeration date
07/03/2013
Last updated
01/26/2015
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